腕管松解术后持续存在的症状：掌深肌导致的神经压迫

Persisting Complaints after Carpal Tunnel Release: Nerve Compression by the Palmaris Profundus Muscle.

作者信息

Poelaert Filip, Van Geluwe Filiep, Van Holder Carlo

机构信息

* Ghent University Hospital, Ghent, Belgium.

† OLV van Lourdes Hospital, Waregem, Belgium.

出版信息

J Hand Surg Asian Pac Vol. 2018 Dec;23(4):593-595. doi: 10.1142/S2424835518720372.

DOI:10.1142/S2424835518720372

PMID:30428792

Abstract

We present the case of a 66-year-old man who had persisting complaints after initial classical open carpal tunnel release. During revision a reversed palmaris profundus muscle was identified as being the cause of residual compression of the median nerve. Neurolysis with release of the palmaris profundus muscle was performed without resection of this anatomical variant and resulted in full resolution of the complaints.

摘要

我们报告了一例66岁男性患者的病例，该患者在初次经典开放性腕管松解术后仍持续存在不适症状。在翻修手术中，发现反转的掌深肌是正中神经残留受压的原因。在未切除这种解剖变异的情况下，进行了掌深肌松解的神经松解术，症状完全缓解。